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目的 :减少残胃贲门癌全胃切除术后常见并发症的发生。方法 :应用贲门胃底切除、余胃食管再吻合术治疗 10例残胃贲门癌。结果 :全组术后无吻合口瘘、胃食管返流和吻合口狭窄等并发症 ,病理检查均未发现切缘癌残留。结论 :本术式保留部分正常胃体 ,比全胃切除更符合解剖生理功能 ,并且可有效地减少全胃切除术后发生的多种并发症。
Purpose : To reduce the occurrence of common complications after total gastrectomy for residual stomach cardia cancer. Methods : Gastric cardia resection and gastroesophageal reanastomosis were used to treat 10 cases of gastric cancer. Results: There were no complications such as anastomotic leakage, gastroesophageal reflux, and anastomotic stenosis after operation in the whole group. No pathological residual cancer was found at the margin. Conclusion : This method preserves part of the normal body of the stomach, which is more in line with the anatomic and physiological functions than the total gastrectomy, and can effectively reduce various complications after total gastrectomy.